Organization
PALMETTO CENTER FOR MEDICAL WEIGHT LOSS AND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L KATZ FNP (CEO)
(843) 873-1720
Entity
Organization
Contact information
Practice address
412 N GUM ST, SUMMERVILLE, SC 29483-6830
(843) 873-1720
(843) 873-1108
Mailing address
PO BOX 100523, FLORENCE, SC 29502-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7143
—
SC
Enumeration date
12/15/2015
Last updated
05/13/2016
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